Individual
DR. JESSE EDWARD SEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.O.S.
Contact information
Practice address
318 TRIBBLE GAP RD, CUMMING, GA 30040-2440
(770) 889-0891
(770) 889-0354
Mailing address
318 TRIBBLE GAP RD, CUMMING, GA 30040-2440
(770) 889-0891
(770) 889-0354
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
035755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00495987D
—
GA
01
—
035755
LICENSE
GA
Enumeration date
09/27/2006
Last updated
07/19/2013
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